Table of Contents - Issue

Volume 1 | Issue 2

This issue discuss on the Health Care Delivery system in Developed, Developing and Underdeveloped countries. Article surveys on the Nurses’ knowledge and use of Nursing Process for Documentation in Public Health care in Southwest Nigeria. It also disseminates the knowledge on the Practical guide in Health care Organisations in Nigeria.The assessment on the practice of Exclusive Breast feeding among postnatal mothers in North central Nigeria. It also highlights the employment status and Mental illness in Federal Psychiatric Hospital, Calabar

Recent articles

Nurses Moving Abroad

Abstract:

Background: Pakistan as like
developing countries has trained nurses for to meet their health care needs and
achieve the Millennium Development Goals (MDGs). Unfortunately these nurses are
leaving the country for better opportunities to developed countries.

Objective: The study aims
to identify the factors involved in Pakistani nurses moving abroad and to draw together
recommendations to retain nurses from the respondents through a questionnaire- based
study in a selected government and private tertiary care hospital in Karachi, Pakistan

Procedure: Descriptive survey
study was conducted in six tertiary care teaching hospitals of Karachi Pakistan.
A sample of 307 nurses was taken randomly by lottery technique in six selected government
and private hospitals which were demographically situated in different places in
Karachi and serves a diversity of population.

Results: The results showed
that low salary package, poor image of the nurse, and poor working conditions were
the major reasons why nurses would like to leave the country and work or migrate
abroad. The United Kingdom, Canada, and the United States of America are the most
popular countries where Pakistani nurses would like to work and migrate.

Conclusion: The reasons for
Pakistani nurses moving abroad are linked to the fulfillment of basic human needs,
self esteem, safety and security needs. These issues are similar to the reasons
of nurses in other source countries.

[8.] Lindio-McGovern,
L. (2014, July). The International Migration of Nurses and Doctors into Healthcare
Systems: A Look into the Philippine Case. InXVIII
ISA World Congress of Sociology (July 13-19, 2014). Isaconf.

Health Care Delivery System in Developed Countries, Developing Countries, and Undeveloped Countries

Abstract:

Open innovation takes many forms from
crowdsourcing to structures, organizational alliances, and strategic co-ventures.
Open innovation strategies acknowledged good ideas from anywhere “the outside-in
approach or Intellectual property” (IP), created added value due to its licensing
arrangement, joint ventures, and other strategic collaborations. The combination
of internal and external ideas and paths to market to make advances in processes
or technologies, a striking model for structuring collaborations between developed
and developing countries. The crafty approach designed new ways of working.

Innovation “use of purposive inflows
and outflows of knowledge to accelerate internal advances and expand the markets
for external use of modernization” defined innovation (Chesbrough, 2006). The definition emphasized, importance of organizations
putting greater emphasis on collaboration and networking (Vanhaverbeke, 2006).

A well-structured article,goalsclearly stated and a recently published editorial.
Findings displayed in the form of figure and discussion. The use of the point method
approach carefully analyzed the commentary. The usage of the open innovation model
highlighted the relevance of recent research on the topic.

Health Care Delivery System in Developed Countries, Developing Countries, and Undeveloped Countries

Public Health Nurses’ Knowledge and Use of Nursing Process for Documentation of Care in Southwest, Nigeria

Abstract:

The use of Nursing process (NP) in documenting care
has improved image of the Nursing Profession in developed nations. This study
was therefore conducted to assess the knowledge and use of Nursing process for documentation
of care among Public Health Nurses (PHNs).

A descriptive design was adopted in carrying out the
study. Purposive sampling technique was used to select 40 PHNs. A questionnaire
on Nursing Process was used to collect data. Data was analyzed using
descriptive statistics.

Seventy percent of the participants have heard of NP.
Major source of information was their schools of training. Sixty percent have
had practical training on NP in schools. Only 10% have attended recent
workshops on NP. All participants do not use NP in care of clients. Ninety-
five percent had poor knowledge of the NP. Factors hindering the participants
from using the NP were Non availability of NP forms, lack of proper training on
the use of NP, busy schedule, shortage of staff and not mandated to use NP.

From the findings, it is clear that PHNs need more training,
seminars / workshops on the use of NP. There is also need for more staffing,
close supervision and provision of NP forms.

Public Health Nurses’ Knowledge and Use of Nursing Process for Documentation of Care in Southwest, Nigeria

References:

[2.] Adejumo, P.O. (2008). Nursing
process: A holistic approach to Nursing care
.Being a Paper presented at the Nursing Process Workshop Organized by the
Nursing and Midwifery Council of Nigeria held at Ibadan on 21st-25th
January, 2008.

[3.] Akpe Tavershima Thomas. (2008).
The Obstacles, Challenges and Prospects of implementing the Nursing process in
hospitals: The Benue state experience.
International Professional Nursing Journal, 17(2), 59-64.

[4.] Allen, S., Chapman, Y., O Conor, M
& Francis, K. (2007): The importance of language for nursing: does it
convey commonality of meaning and is it important to do so? Australian Journal of Advanced Nursing
Volume 24(4), retrieved March 10, 2009 from http://www.nursingworld.org

[9.] Fajemilehin, B.R, (2008). Nursing
process: An all inclusive update on the tool for scientific nursing practice. A
paper presented at the Mandatory Continuing Professional Development Programme
on the Nursing process.

[10.] Humphrey, M. & Jacobs, M.
(2008). Factors affecting the implementation of the Nursing process in the
United Kingdom. American Journal of
Nursing, 6(3) 45-49.

A Practical Guide in Health-Care Organizations in Nigeria Today

Abstract:

Perhaps
the two most often studied and empirically supported organizational factors
that can promote the acceptance of technology by the end users are training and
participation. The science of training is well established. Not surprisingly,
well designed training programs have been shown to promote end user acceptance
of technology. The key is to design the training program according to the
scientific evidence. Well designed training not only transfers knowledge and
skills about the technology, but it can also bring understanding of the technology
through education and can create feelings of involvement in decisions. In
addition, training can lead to several other important variables for the
acceptance of technology including self-efficacy and intrinsic motivation. This
paper reviews the theoretical knowledge on what leads to successful technology
implementation and how this can be translated into specifically designed
processes for successful technology change in Nigerian health-care organizations.

Abstract:

The purpose of this study was to examine employment
status and mental illness among psychiatric patience of Federal Psychiatric Hospital
Calabar, Nigeria. The ex-post facto research design was used for the study. The
population of this study comprised all the in-patients in the hospital. The sample
of this study comprised of 50 patients who were randomly picked from acute wards
of the hospital. Four research questions and hypotheses were formulated to guide
the study. Instrument titled “employment status and mental illness questionnaire”
was used for the study. The validity of the instrument
was established using face validation method. The data obtained were analysed using
Chi- square test. Each of the hypotheses was tested at 0.05 level of significance.
The result of the analysis revealed that the rate of mental illness, recovery
and relapse differ significantly between the employed and the unemployed. The result
further revealed that societal regards for the employed and the unemployed
do significantly differ. Based on this findings, it was concluded that employment
status do influence mental illness in Federal Psychiatric Hospital Calabar, Nigeria.
It was recommended that Government should create more job opportunities for the
unemployed so as to get them occupied, which in turn will help in taking away the
time they would have engaged in anti social activities.

Key Words Employment: A state of functionality
of an employee under agreement with his employer.

[6.] F. M. McKee-Ryan, Z. Song,
C. R. Wanberg, and A. J. Kinicki, “Psychological and physical well-being during
unemployment: a meta-analytic study,” Journal of Applied Psychology, vol. 90, no.
1, pp. 53–76, 2005. View at Publisher View at Google Scholar View at PubMed View
at Scopus http://www.theatlantic.com/business/archive/2014/06/the-mental-health-consequences-of-unemployment/372449/9 Jun 2014 The Mental-Health Consequences of Unemployment. Those who have been looking
for work for half a year or more are more than three times.

Abstract:

The research is a
cross-sectional descriptive survey conducted at NKST hospital Mkar, Gboko,
North Central Nigeria to assess practice of exclusive breastfeeding (EBF) among
postnatal mothers. The specific objectives were; to assess the knowledge of
postnatal mothers on EBF, to determine the level of understanding of postnatal
mothers on importance of EBF, to ascertain if postnatal mothers adopt good
attachment while breastfeeding , and to assess factors militating against EBF
by the postnatal mothers. Convenient sampling technique was used in selection
of samples used for the study. Data were collected from the respondents through
self-structured and validated questionnaire. Data obtained were analyzed and
presented using frequency distribution table. Based on the findings; the
knowledge of postnatal mothers on EBF was very adequate and good, also, the
postnatal mothers have good understanding of the importance of EBF, however
only very few of the mothers practices EBF. The finding also revealed that
majority of mothers does not really know what are indications for good baby
attachment to the breast. In addition, the finding show that the major factors
militating against EBF includes misconception that crying baby is an indication
that the breast was not enough for the baby, hence needed more supplement;
nature of their work not permitting them to practice EBF; misconception that
EBF makes their breast to sag quick among other factors. The researcher made
the following recommendations; health workers especially should put all hands
on deck to ensure more implementation of practices of EBF by lactating mothers
through adequate dismissal of all misconceptions militating against EBF, and
that government should come up with good motivational material incentives for mothers
who successfully breast feed their babies exclusively such as giving out
wrappers to the mothers, giving such child free primary and secondary
education, giving the mothers some reasonable amount of money etc.

Is Aversion to Caesarean Section Justified in Africa?

Abstract:

Caesarean section (CS) is still relatively not well accepted
in Africa when compared to Western countries. Morbidity following CS especially
inability to do things by oneself is a major deterrent to accepting CS. This study
reviewed morbidity following CS & retrieve feedback on CS from clients.

A retrospective three year review of all CS done in an
obstetric specialist unit was conducted. A cross sectional study was carried out
using self-administered questionnaire to retrieve feedbacks from clients who have
had CS done on them.

Caesarean section rate was 68.59%. Mean time to ambulation,
taking of oral sips, commencement of breastfeeding was 24 hours while mean time
to discharge was 71.7hours. 70% of the women had no regrets doing CS. About 50%
would want some improvement in the process of CS especially the spinal anaesthesia.
Morbidity following CS occurred in less than 20%.

[15.] Tan PC, Norazilah MJ, Omar SZ 2012. Hospital discharge
on the first compared with the second day after a planned cesarean delivery: a randomized
controlled trial. Obstet Gynecol.;120 (6):1273-82.